Co morbidities associated with vesico vaginal fistula in patients managed in Maryam Abacha Fistula Hospital Sokoto, Northwestern Nigeria

Hassan, M; Nasir, S

doi:10.4103/tjog.tjog_53_18

Cited by 3 publications

(4 citation statements)

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“…The CASP checklist identified only one study [ 3 ], to be of high-quality (9 scores), three studies [ 9 , 26 , 27 ] to be of moderate quality (4–6 scores) while 4 studies [ 7 , 28 – 30 ] were of low quality (2–3 scores) due to shortcomings in their methodologies and data analysis. Although all studies obtained ethical approval from the ethics committee, only two studies [ 3 , 27 ] provided sufficient details of how the research was explained to the participants to assess if ethical standards were maintained.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, all studies recorded the employment status of the women except for two studies [ 28 , 29 ]. While some of the women were unemployed [ 3 , 9 , 26 , 30 ], some women were farmers and artisans [ 3 , 7 , 26 , 27 ], some were traders [ 30 ] while some were students [ 3 , 26 ]. The background, methodological details and key findings of the included studies are shown in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Helplessness and sadness were identified as the psycho-social impact of obstetric fistula in only three studies [ 26 , 27 , 29 ]. Also, women with obstetric fistula were found to be depressed due to incontinence in six studies [ 7 , 9 , 27 – 30 ]. One out of the six studies reported that there was no significant association between depression and age, hence, depression was common across all age groups [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Also, women with obstetric fistula were found to be depressed due to incontinence in six studies [ 7 , 9 , 27 – 30 ]. One out of the six studies reported that there was no significant association between depression and age, hence, depression was common across all age groups [ 30 ]. They further indicated a significant association between depression and parity where women with obstetric fistula who has given birth five times or more were least depressed.…”

Section: Resultsmentioning

confidence: 99%

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The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review

et al. 2023

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Background Obstetric fistula continues to affect the social and mental wellbeing of women living in Nigeria giving rise to poor maternal health outcome. While the World Health Organisation (WHO) has recommended the introduction of psycho-social interventions in the management of obstetric fistula women, psycho-social support for women living with obstetric fistula in Nigeria, are limited. This systematic review aimed to synthesise the psycho-social impact of obstetric fistula on women living in Nigeria as well as the available psycho-social support for these affected women. Methods Following a keyword strategy, Medline, CINAHL, Google scholar, ScienceDirect, Cochrane library, PsychINFO, AMED, British Nursing database, Pubmed central, TRIP database, UK Pubmed central, socINDEX, Annual reviews, ISI Web of Science, Academic search complete, Credo reference, Sage premier and Scopus databases were searched alongside hand searching of articles. The inclusion criteria were set as articles published between 2000 and 2020, on the psychosocial consequences of obstetric fistula in Nigeria. The Critical Appraisal Skills Program (CASP) tool was used to appraise the quality of the included studies. The data was extracted and then analysed using narrative synthesis. Results 620 relevant citations were identified, and 8 studies were included. Women with obstetric fistula, living in Nigeria were found to be ostracised, abandoned by families and friends, stigmatised and discriminated against, which led to depression, loneliness, loss of self-esteem, self-worth and identity. Psycho-social interventions for women who experienced obstetric fistula are not widely available. Conclusion There is a need for the introduction of more rehabilitation and reintegration programs across the country. The psychosocial effect of obstetric fistula is significant and should be considered when developing interventions. Further, more research is needed to evaluate the sustainability of psychosocial interventions in Nigeria.

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